For those of you with remaining flex tickets and ticket vouchers, those tickets will be honored in the future. Thank you so much for your continued support. Take care and we'll see you soon.

Education Enrollment Form

We're so glad that you've decided to sign up for a class at the Players Guild Theatre. Please fill out the form below, in its entirety, and be sure to have a credit card on hand to make your payment, as the form will not submit without a valid credit card.

NO REFUNDS will be issued unless requested and approved 10 days prior to the start date of classes, workshops and lessons.

Class Information

Today's Date	Required* //
Session	Required*
Class Selection	Required*

Student Information

Student Name

First Name*

Last Name*

Student Birthdate

Required* //

Age of Student

Required*

Parent or Guardian (if applicable)

First Name

Last Name

Address

Street 1*

Street 2

City*

State*

Zip*

Phone

Required* -- ext

Required*

Would you like to be added to the Players Guild e-mail list?
Required*

	Yes
	No

Payment Information

Please check the box that corresponds to the class(es) you wish to take.

Shopping BasketRequired*

		Selection	Extended

	Teen Class \| $100.00
	Adult Class \| $50.00
	Teen Full Year \| $250.00

Order Summary

Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type Credit Card

Credit Card

Name on Card
First Name*	Last Name*

Card Number* - - -

Accepted Types

Security Code (CVV2)* | What's this?

Expiration Date*

Billing Address

Street 1*

Street 2

City*

State*

Zip*

Provide the billing address

Phone Required* -- Provide a contact phone number for the billing contact.

Education Enrollment Form

Teen Class | $100.00

Adult Class | $50.00

Teen Full Year | $250.00